Austin, TX
Cancer case highlights gaps in Texas protections for women firefighters
NEW BRAUNFELS, Texas (KXAN) — Between carpool, homework, and after-school activities for her two teenage daughters, Suzanne La Follette fits in chemo.
As she and her partner move through daily life, they’ve had to navigate cancer treatments and a legal system surrounding workers’ compensation.
“To have this on top of it has been really overwhelming,” La Follette said.
The Austin Fire Department lieutenant of nearly two decades said she was diagnosed with terminal uterine cancer last May. She explained in November 2025, the City of Austin denied her workers’ compensation claim, classifying her cancer as a “disease of life” rather than an illness tied to her work as a firefighter.
“I have no regrets (about) becoming a firefighter,” La Follette said. “But I do think this job absolutely caused the cancer.”
Her case highlights concerns by firefighter associations across the state and the need to strengthen Texas’ presumptive cancer laws, particularly to ensure women firefighters are covered.
Focus on cancers impacting women
La Follette, 46, appealed the city’s decision.
In April, a ruling affirmed that her cancer is occupational, making her eligible for workers’ compensation benefits. A city spokesperson said it’s not appealing the judge’s decision.
“All workers’ compensation claims are unique and evaluated on a case-by-case basis. This process ensured that Lt. La Follette’s case was reviewed and considered by a neutral third party,” said the statement to KXAN investigators. “We are thankful for the clarity provided by the Texas Division of Workers’ Compensation and appreciate Lt. La Follette’s years of service to this community.”
Under Texas law, certain cancers are presumed to be job-related for firefighters, but cancers specifically impacting women, including uterine cancer, are not listed.
It’s why state lawmakers want to study the issue and have directed the Department of State Health Services and the Texas Commission on Fire Protection to compare cancer rates of women firefighters across the state to other women, focusing on ovarian, cervical, uterine and breast cancers. A report due to the Texas legislature by September must include the results of the study and any recommendations.
DSHS said the agency is using Texas Cancer Registry data to compare all cancers, and those specific to women, among women who are firefighters and those who are not. The Texas Commission on Fire Protection explained the agency has shared data with the state health department on more than 40,000 firefighters in Texas to correlate the data, which does not include occupations. The data will allow DSHS to identify women employed as firefighters.
“There have been many studies which show a link to increased risk of cancer amongst male firefighters for a broad range of cancers; however, until now, there were not enough female firefighters in the state to do a meaningful study into the increased risk these women face to female-specific cancers, such as ovarian and breast cancers,” said State Rep. Jared Patterson, R-Frisco, one of the authors of the legislation which became law last legislative session.
Patterson said the new law does not change existing code or policy, but the state will study whether certain cancers should be added to preemptive measures, as other specific cancers have been.
‘Left by the wayside’
Firefighter associations are advocating for statewide changes to cancer protections for firefighters.
“They could get it through the exposure to carcinogens on the fire ground, benzene, diesel exhaust in the fire station, if they don’t have that taken care of,” explained John Riddle, president of the Texas State Association of Fire Fighters.
The association has almost 21,000 members and points to gaps in research, which has historically focused on men.
“They’ve (women) been kind of left by the wayside quite frankly over the years,” said Riddle. “And we need to fix that.”
Though the number of studies into cancer rates impacting female firefighters are limited, one out of Florida is similar to what Texas is hoping to learn.
A study published in the American Journal of Industrial Medicine in 2020 examined cancer risk in over 100,000 Florida firefighters over three decades.
The study found women firefighters had a 154% increased risk of brain cancer, a 142% increased risk of thyroid cancer and a 68% greater risk of melanoma compared to women who were not firefighters. The authors of the study explained more research is needed to focus on a larger number of women firefighters diagnosed with cancer.
It’s what another national study currently underway hopes to do.
The Fire Fighter Cancer Cohort Study, funded by the Federal Emergency Management Agency, is focusing on women firefighters and evaluating factors associated with the increased risk for cancer, reproductive health outcomes and stress in the fire service. As of early May, more than 1,400 women firefighters have enrolled in the study from across the country, over 170 from Texas.
“I’ve really been optimistic that we can make some change,” La Follette said, hearing about the ongoing studies. “The more research we gather, the more we realize… that cancer is an occupational hazard of firefighting.”
AUSTIN, Texas – Texas Secretary of State Jane Nelson said Tuesday she will leave the post next month.
What we know:
In a statement, Nelson said her resignation will be effective July 17 but did not provide a reason for the departure.
“It has been an honor to serve the people of Texas in this role,” Nelson said. “My time as Secretary came at an important moment for Texas, and I am proud of what we have been able to accomplish as an agency in under four years.”
Nelson has served in the role since 2023.
Among other things, the Secretary of State oversees elections and business filings in the state and serves as the chief diplomat of Texas.
View of Texas State Senator Jane Nelson, during the 80th Texas Legislature, on the floor of the Senate at the Texas State Capitol, Austin, Texas, January 22, 2007. (John Anderson/The Austin Chronicle / Getty Images)
What they’re saying:
Texas Gov. Greg Abbott described Nelson as extraordinary.
“I am deeply grateful for her long and loyal service and outstanding leadership. She has represented our state with grace and honor across the globe, and Texas is better because of it,” Abbott said. “Cecilia and I wish her all the best in the next chapter of her distinguished career.”
Dig deeper:
According to the Secretary of State’s office, Nelson has presided over seven statewide elections during her tenure with a cumulative 27 million ballots cast and broke a record with more than 3 million active business filers.
Nelson also served three decades in the Texas Senate, where she remains the longest-serving Republican in state history.
The Source: Information in this story came from the Texas Secretary of State’s office.
Michael Dorman
Austin, Texas, is revving up to sell $2.35 billion of debt for a convention center and a wastewater treatment plant, while a legal battle continues over bonds to help finance a light rail system.
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The bond boom comes as the city council voted on Thursday to pursue the development of a $390 million baseline general obligation bond package for the November ballot despite a call by Mayor Kirk Watson to wait until 2028.
“I believe we can and we should bring forward significant investments in the future,” he said. “In fact, if we restore compliance with our financial policies and we maintain the discipline we actually will have greater future capacity to do more for this community in 2028.”
A bond election would
The city, which last held a successful GO bond election in 2022 for $350 million of debt for affordable housing, had $1.03 billion of unissued voter-approved GO bond authorization as of the Sept. 30 end of fiscal 2025. Last year,
On Thursday, the city council signed off on a $34.5 million wrongful prosecution and conviction settlement with four individuals to be financed through the sale of non-voter-approved GO bonds.
The council approved up to $1.35 billion of special tax revenue bonds on May 21 for a $1.6 billion project to replace the city’s now-demolished convention center with a facility that will increase rentable event space to 620,000 square feet from 365,000 square feet.
Rich Saskal
The bonds are backed with revenue from certain city hotel occupancy taxes and incremental state tax revenue generated within a project finance zone the city established in 2024. Amounts and timings for issuing the debt are being determined, according to the city, which filed a petition with a Travis County District Court for an expedited validation of the bonds.
An ordinance approved in October
The city also plans to refund hotel occupancy tax-backed debt issued for the prior convention center in order to pledge a 4.5% hotel tax for the upcoming bonds.
“The refunding bonds are a separate, but related item to the expansion bonds and will only be secured by 2% venue HOT,” city documents said. “The 2% venue HOT will not be pledged to the expansion bonds and will cease to be collected upon final maturity or early payoff of (the refunding bonds).”
A petition drive that would have delayed the project fell 494 signatures short of a requirement for 20,000 valid signatures of registered voters, Austin City Clerk Erika Brady determined in November.
Petition backers are appealing a district court’s refusal to force validation in state appellate court after the Texas Supreme Court dismissed
The petition drive by Austin United PAC and others sought a ballot measure to stop the demolition and reconstruction of the convention center for seven years — or until the project was approved by voters — and prioritize city funding for local live music, arts, cultural, and outdoor tourism.
The Austin City Council also approved as much as $1 billion of water and wastewater system revenue bonds last month for the Walnut Creek Wastewater Treatment Plant expansion and enhancement project. The bonds will be used to obtain a direct low-interest loan from the U.S. Environmental Protection Agency’s Water Infrastructure Finance and Innovation Act program.
Other financing sources for the $1.5 billion project are $59 million from the Texas Water Development Board Clean Water State Revolving Fund program and funding from Austin Water.
A
The plant, which serves more than 50% of Austin and operates at a treatment capacity of 75 million gallons per day, will have its capacity increased to 100 MGD, helping meet future demand and requirements set by the Texas Commission on Environmental Quality for Austin’s projected growth of 1.5 million by 2040, according to a city statement.
A legal logjam over a light rail system eased May 22 when the Texas Supreme Court finally ruled on a procedural issue related to an initial $150 million of bonds for the project. The high court ordered a Travis County Court judge to decide whether the bonds’ issuer, the Austin Transit Partnership, a nonprofit corporation created by the city and Capital Metro Transportation Authority, has standing to seek court validation for the debt.
City taxpayers who filed a lawsuit in 2023, along with the Texas Attorney General’s Office have been challenging the legality of the bonds, which would be paid off with a portion of Austin’s operation and maintenance property taxes
Escalating costs led ATP to downsize Project Connect to an initial less than 10-mile, 15-station system with a similar price tag. The completion of a federal environmental review in January allowed the project to continue a process
ATP said Project Connect is moving forward with construction scheduled to begin next year.
“We are confident in our case and look forward to our day in court,” ATP said in a statement. “The pending litigation has not slowed our progress advancing Austin light rail, which has hit major milestones in the federal funding process, design, and pre-construction work this year.”
Bill Aleshire, an attorney who filed the taxpayers’ lawsuit, cautioned that several issues remain before the court, including the legality of the downsized project and the ability to pay off bonds with property tax revenue that is supposed to be used for operations.
“Their federal funding is uncertain, their ability to issue bonds is uncertain, and they just stubbornly will not listen to us and say it’s time to pause Project Connect and rethink it, that maybe rail isn’t the best way to go at this time and maybe we can’t afford it at this time,” he said.
AUSTIN, Texas (KTRK) — Does the state of Texas have too many law enforcement agencies? That was a topic of discussion at a Texas House Committee meeting on May 28, which focused on police standards and policy.
It was comments from TCOLE Deputy Chief TJ Vineyard that drew the attention of unions and lobbying groups representing law enforcement across Texas.
“We’re starting to look now at encouraging the consolidation of agencies,” Vineyard said during the nearly eight-hour-long hearing.
The response was almost immediate from groups representing various aspects of law enforcement.
One social media post on Facebook from the Texas Law Enforcement Association proclaimed concern about the future of smaller departments across the state, despite an exchange later in the hearing between the committee chair, State Representative Cole Hefner, and TCOLE’s Executive Director, Chief Gregory Stevens.
“We’re not taking police off the street?” Hefner asked. “We’re making sure that we have qualified people that are equipped and trained.”
“One hundred percent,” Stevens said.
According to TCOLE’s own numbers, there are more than 2,700 accredited agencies and some 83,000 peace officers.
The chair asked whether 2,700 was a good or bad thing, given that Texas has more agencies than the next four largest states combined.
“There is a lot of duplicative coverage,” Stevens said, “overlapping coverage. When it comes to resources, it can be inefficient.”
Also speaking on the panel was Jennifer Szimanski with the Combined Law Enforcement Associations of Texas (CLEAT), which also posted on social media about the hearing. While the group wouldn’t comment directly about consolidation, Szimanski told ABC13 that “consolidation is not the legislative intent for TCOLE” and that “we should be forward-looking and raising standards”.
But in a conversation with ABC13, Stevens said targeting smaller departments is not their intent. TCOLE wants every department, regardless of size, to comply with the higher standards implemented in 2023.
“Some of the things that are out there surfing out across social media and on other platforms is that TCOLE wants to shut down small agencies and let sheriff’s offices take over, and that’s absolutely not true. It couldn’t be further from what we’re doing,” Stevens said. “It doesn’t matter about the size of the agencies, and I want to be really clear on that point. TECOL is not out to shut down or to make life hard on a small municipal agency, a school district, police department, or what have you.”
But the larger conversation is not limited to the state of Texas.
Harris County is home to more than 60 agencies. In the last major study on overlap in 2018, Rice University’s Kinder Institute found that consolidation could help address inefficiencies. Kyle Shelton, now at the University of Minnesota, co-authored the report eight years ago.
“It’s really just an opportunity to look at how regional governments, which are often overlapping, best coordinate and collaborate on the services that they’re providing,” Shelton told ABC13.
Whether it’s Harris County or the state of Texas, the cost of funding and maintaining law enforcement agencies is getting more expensive. While consolidation may not be the answer, it is part of a conversation in which Kyle Shelton says governments should be engaging.
“It’s not a quick band-aid to pull off and say, ‘Hey, look, we fixed the budget crisis, or, you know, addressed some efficiencies here in a nice, neat three-month process,” Shelton said. “You know, it likely takes years and a lot of trust building, both with residents and the agencies.”
Texas does have more law enforcement agencies than the next four largest states combined, according to TCOLE.
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